DEPARTMENT OF INSURANCE
Affiliations
NameBlack, James EDOIID308850NAIC NPN5514142
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth2/9/20012/23/2005 
InactiveNon ResidentAgentLife5/31/20012/23/2005 
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/20012/23/2005 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAugustar Life Assurance Corporation301113Agent - Life5/31/200111/10/2004
InactiveAugustar Life Assurance Corporation301113Agent - Variable Life and Variable Annuities5/31/200111/10/2004
InactiveAugustar Life Insurance Company301816Agent - Life5/31/200111/10/2004
InactiveAugustar Life Insurance Company301816Agent - Variable Life and Variable Annuities5/31/200111/10/2004
InactiveEverlake Life Insurance Company300873Agent - Life5/31/200110/21/2004
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities5/31/200110/21/2004
InactiveGlenbrook Life and Annuity Company301384Agent - Life7/11/200310/21/2004
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities7/11/200310/21/2004
InactiveLife Insurance Company of Georgia300267Agent - Health6/25/19991/7/2000
InactiveLife Insurance Company of Georgia300267Agent - Life6/25/19991/7/2000
InactiveMetLife Investors Insurance Company301872Agent - Health2/9/20012/23/2005
InactiveMetLife Investors Insurance Company301872Agent - Life5/31/20012/23/2005
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities5/31/20012/23/2005
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life9/22/200312/16/2004
InactiveTransamerica Life Insurance Company300571Agent - Life7/24/200111/22/2004
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities7/24/200111/22/2004
InactiveWestern National Life Insurance Company300461Agent - Life5/31/20012/9/2005
InactiveWestern National Life Insurance Company300461Agent - Variable Life and Variable Annuities5/31/20012/23/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUS Bancorp Investments, Inc.572662Agent - Life12/18/20032/23/2005
InactiveUS Bancorp Investments, Inc.572662Agent - Health12/18/20032/23/2005
InactiveUS Bancorp Investments, Inc.572662Agent - Variable Life and Variable Annuities12/18/20032/23/2005

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